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DE69834644T2 - Nichtinvasive geräte und systeme zum schrumpfen von geweben - Google Patents

Nichtinvasive geräte und systeme zum schrumpfen von geweben Download PDF

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Publication number
DE69834644T2
DE69834644T2 DE69834644T DE69834644T DE69834644T2 DE 69834644 T2 DE69834644 T2 DE 69834644T2 DE 69834644 T DE69834644 T DE 69834644T DE 69834644 T DE69834644 T DE 69834644T DE 69834644 T2 DE69834644 T2 DE 69834644T2
Authority
DE
Germany
Prior art keywords
tissue
probe
electrode
temperature
heating
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
DE69834644T
Other languages
German (de)
English (en)
Other versions
DE69834644D1 (de
Inventor
Frank Palo Alto INGLE
L. Garry Pleasanton CARTER
J. Robert Richmond LAIRD
P. John San Carlos CLAUDE
Paul San Jose DO
J. Brian Dublin MOSEL
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Solarant Medical Inc
Original Assignee
Solarant Medical Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from US08/910,371 external-priority patent/US6081749A/en
Priority claimed from US08/910,369 external-priority patent/US6035238A/en
Priority claimed from US08/910,775 external-priority patent/US6480746B1/en
Application filed by Solarant Medical Inc filed Critical Solarant Medical Inc
Publication of DE69834644D1 publication Critical patent/DE69834644D1/de
Application granted granted Critical
Publication of DE69834644T2 publication Critical patent/DE69834644T2/de
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1482Probes or electrodes therefor having a long rigid shaft for accessing the inner body transcutaneously in minimal invasive surgery, e.g. laparoscopy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1485Probes or electrodes therefor having a short rigid shaft for accessing the inner body through natural openings
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/06Electrodes for high-frequency therapy
    • AHUMAN NECESSITIES
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    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/40Applying electric fields by inductive or capacitive coupling ; Applying radio-frequency signals
    • A61N1/403Applying electric fields by inductive or capacitive coupling ; Applying radio-frequency signals for thermotherapy, e.g. hyperthermia
    • AHUMAN NECESSITIES
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    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
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    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1477Needle-like probes
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    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
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    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00084Temperature
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    • A61B2017/00292Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
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    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
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    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
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    • A61B2018/00059Material properties
    • A61B2018/00071Electrical conductivity
    • A61B2018/00083Electrical conductivity low, i.e. electrically insulating
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    • A61B2018/00095Thermal conductivity high, i.e. heat conducting
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    • A61B2018/00148Coatings on the energy applicator with metal
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    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
    • A61B2018/0022Balloons
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    • A61B2018/00214Expandable means emitting energy, e.g. by elements carried thereon
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    • A61B2018/00232Balloons having an irregular shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00505Urinary tract
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00505Urinary tract
    • A61B2018/00517Urinary bladder or urethra
    • AHUMAN NECESSITIES
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    • A61B2018/00523Treatment of incontinence
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00553Sphincter
    • AHUMAN NECESSITIES
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    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00559Female reproductive organs
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    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
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    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/1253Generators therefor characterised by the output polarity monopolar
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    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/126Generators therefor characterised by the output polarity bipolar
    • AHUMAN NECESSITIES
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    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • A61B2018/1273Generators therefor including multiple generators in one device
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    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
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    • A61B2018/1467Probes or electrodes therefor using more than two electrodes on a single probe
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    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1472Probes or electrodes therefor for use with liquid electrolyte, e.g. virtual electrodes
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    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • A61B2090/378Surgical systems with images on a monitor during operation using ultrasound
    • A61B2090/3782Surgical systems with images on a monitor during operation using ultrasound transmitter or receiver in catheter or minimal invasive instrument
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    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002Irrigation
    • AHUMAN NECESSITIES
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    • A61N7/02Localised ultrasound hyperthermia

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Public Health (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Otolaryngology (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
  • Thermotherapy And Cooling Therapy Devices (AREA)
  • Electrotherapy Devices (AREA)
  • Treatment Of Fiber Materials (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
DE69834644T 1997-08-13 1998-08-12 Nichtinvasive geräte und systeme zum schrumpfen von geweben Expired - Fee Related DE69834644T2 (de)

Applications Claiming Priority (15)

Application Number Priority Date Filing Date Title
US910371 1992-07-08
US910775 1992-07-08
US910369 1997-08-13
US08/910,371 US6081749A (en) 1997-08-13 1997-08-13 Noninvasive devices, methods, and systems for shrinking of tissues
US08/910,369 US6035238A (en) 1997-08-13 1997-08-13 Noninvasive devices, methods, and systems for shrinking of tissues
US08/910,775 US6480746B1 (en) 1997-08-13 1997-08-13 Noninvasive devices, methods, and systems for shrinking of tissues
US7141898P 1998-01-14 1998-01-14
US7142298P 1998-01-14 1998-01-14
US7132398P 1998-01-14 1998-01-14
US7141998P 1998-01-14 1998-01-14
US71419P 1998-01-14
US71418P 1998-01-14
US71323P 1998-01-14
US71422P 1998-01-14
PCT/US1998/016754 WO1999008614A1 (fr) 1997-08-13 1998-08-12 Dispositifs, procedes et systemes non effractifs permettant de resserrer des tissus

Publications (2)

Publication Number Publication Date
DE69834644D1 DE69834644D1 (de) 2006-06-29
DE69834644T2 true DE69834644T2 (de) 2007-05-10

Family

ID=27568305

Family Applications (1)

Application Number Title Priority Date Filing Date
DE69834644T Expired - Fee Related DE69834644T2 (de) 1997-08-13 1998-08-12 Nichtinvasive geräte und systeme zum schrumpfen von geweben

Country Status (8)

Country Link
US (6) US6216704B1 (fr)
EP (1) EP1003432B1 (fr)
JP (1) JP2001514921A (fr)
AT (1) ATE326913T1 (fr)
AU (1) AU732188B2 (fr)
CA (1) CA2300152A1 (fr)
DE (1) DE69834644T2 (fr)
WO (1) WO1999008614A1 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE102009059192A1 (de) * 2009-12-17 2011-06-22 Aesculap AG, 78532 Chirurgisches System und Steuerungsverfahren für ein chirurgisches Instrument und Verfahren zum Verbinden von Körpergewebeteilen
US9492172B2 (en) 2009-12-17 2016-11-15 Aesculap Ag Surgical system for connecting body tissue
DE102021103506A1 (de) 2021-02-15 2022-08-18 Olympus Winter & Ibe Gmbh Bipolarer HF-Applikator und HF-Applikationssystem

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US6161543A (en) 1993-02-22 2000-12-19 Epicor, Inc. Methods of epicardial ablation for creating a lesion around the pulmonary veins
US5561377A (en) 1995-04-14 1996-10-01 Cascade Microtech, Inc. System for evaluating probing networks
US6232789B1 (en) 1997-05-28 2001-05-15 Cascade Microtech, Inc. Probe holder for low current measurements
US7267675B2 (en) * 1996-01-05 2007-09-11 Thermage, Inc. RF device with thermo-electric cooler
US7022121B2 (en) 1999-03-09 2006-04-04 Thermage, Inc. Handpiece for treatment of tissue
US7141049B2 (en) * 1999-03-09 2006-11-28 Thermage, Inc. Handpiece for treatment of tissue
US7229436B2 (en) * 1996-01-05 2007-06-12 Thermage, Inc. Method and kit for treatment of tissue
US20030212393A1 (en) * 1996-01-05 2003-11-13 Knowlton Edward W. Handpiece with RF electrode and non-volatile memory
US7452358B2 (en) 1996-01-05 2008-11-18 Thermage, Inc. RF electrode assembly for handpiece
US7115123B2 (en) 1996-01-05 2006-10-03 Thermage, Inc. Handpiece with electrode and non-volatile memory
US6350276B1 (en) 1996-01-05 2002-02-26 Thermage, Inc. Tissue remodeling apparatus containing cooling fluid
US7473251B2 (en) * 1996-01-05 2009-01-06 Thermage, Inc. Methods for creating tissue effect utilizing electromagnetic energy and a reverse thermal gradient
US7189230B2 (en) 1996-01-05 2007-03-13 Thermage, Inc. Method for treating skin and underlying tissue
US7006874B2 (en) 1996-01-05 2006-02-28 Thermage, Inc. Treatment apparatus with electromagnetic energy delivery device and non-volatile memory
US6289249B1 (en) * 1996-04-17 2001-09-11 The United States Of America As Represented By The Administrator Of The National Aeronautics And Space Administration Transcatheter microwave antenna
US5914613A (en) 1996-08-08 1999-06-22 Cascade Microtech, Inc. Membrane probing system with local contact scrub
US8353908B2 (en) 1996-09-20 2013-01-15 Novasys Medical, Inc. Treatment of tissue in sphincters, sinuses, and orifices
US6719755B2 (en) 1996-10-22 2004-04-13 Epicor Medical, Inc. Methods and devices for ablation
US6311692B1 (en) 1996-10-22 2001-11-06 Epicor, Inc. Apparatus and method for diagnosis and therapy of electrophysiological disease
US7052493B2 (en) 1996-10-22 2006-05-30 Epicor Medical, Inc. Methods and devices for ablation
US6840936B2 (en) * 1996-10-22 2005-01-11 Epicor Medical, Inc. Methods and devices for ablation
US5904651A (en) 1996-10-28 1999-05-18 Ep Technologies, Inc. Systems and methods for visualizing tissue during diagnostic or therapeutic procedures
US6292700B1 (en) 1999-09-10 2001-09-18 Surx, Inc. Endopelvic fascia treatment for incontinence
US6033399A (en) * 1997-04-09 2000-03-07 Valleylab, Inc. Electrosurgical generator with adaptive power control
US6002263A (en) 1997-06-06 1999-12-14 Cascade Microtech, Inc. Probe station having inner and outer shielding
US6104959A (en) 1997-07-31 2000-08-15 Microwave Medical Corp. Method and apparatus for treating subcutaneous histological features
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US20030139790A1 (en) 2003-07-24
US6629535B2 (en) 2003-10-07
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EP1003432B1 (fr) 2006-05-24
AU732188B2 (en) 2001-04-12
JP2001514921A (ja) 2001-09-18
WO1999008614A1 (fr) 1999-02-25
US6216704B1 (en) 2001-04-17
US20010014819A1 (en) 2001-08-16
EP1003432A4 (fr) 2001-01-10
DE69834644D1 (de) 2006-06-29
US6546934B1 (en) 2003-04-15
US6558381B2 (en) 2003-05-06
US20010018606A1 (en) 2001-08-30
US20050288680A1 (en) 2005-12-29

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